title: Inadvertent placement of a glaucoma tube into the graft-host interface of an eye with previous Descemet stripping automated endothelial keratoplasty.
abstract: OBJECTIVE
  The aim of this study was to report the inadvertent insertion of a glaucoma tube into the graft-host interface in a patient with previous Descemet stripping automated endothelial keratoplasty (DSAEK).
  
  
  METHODS
  This is a retrospective case report.
  
  
  RESULTS
  A 56-year-old aniridic woman with a history of multiple failed penetrating keratoplasties (PKPs) and glaucoma underwent DSAEK under failed PKP of her left eye at our institution. After undergoing a subsequent glaucoma tube placement by an outside glaucoma specialist, the tube was identified in the DSAEK-PKP interface. The tube was successfully repositioned at the time of repeat PKP with placement of a Boston type I keratoprosthesis.
  
  
  CONCLUSIONS
  Inadvertent insertion of a glaucoma tube into the DSAEK interface may result in ocular morbidity in patients with previous DSAEK surgery.
authors.affiliation: *Devers Eye Institute †Lions VisionGift Research, Portland, OR.
authors.forename: Jeffrey M
authors.initials: JM
authors.lastname: Goshe
authors.forename: Mark A
authors.initials: MA
authors.lastname: Terry
authors.forename: Jennifer Y
authors.initials: JY
authors.lastname: Li
mesh_terms: D015783:Aniridia / Q000209:etiology; D057111:Descemet Stripping Endothelial Keratoplasty; D005260:Female; D005901:Glaucoma / Q000601:surgery; D020327:Glaucoma Drainage Implants; D006801:Humans; D007429:Intraocular Pressure; D007431:Intraoperative Complications; D015948:Keratoplasty, Penetrating; D008875:Middle Aged; D019919:Prosthesis Implantation / Q000009:adverse effects*; D012086:Reoperation; D012189:Retrospective Studies; D014019:Tissue Donors